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General NPI Number Information
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NPI Number | 1336184019
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN HOSPITAL
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 10 E 31ST ST BOX 1990
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City | KEARNEY
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State | NE
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Zip | 68847-2926
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Country | US
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Telephone | 308-865-7100
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Fax | 308-865-2913
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Provider Business Mailing Address
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Address Line | 10 E 31ST ST BOX 1990
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City | KEARNEY
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State | NE
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Zip | 68847-2926
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Country | US
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Telephone | 308-865-7100
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Fax | 308-865-2913
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Authorized Official
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Title or Position | CEO - CHI HEALTH
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Name | EVERT KUIPER
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Credential |
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Telephone | 402-343-4420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 070001
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 070001
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 070001
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 070001
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 070001
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License Number State | NE
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